| NPI | 1124380332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036149216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017468) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT014796) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5052) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-12-06 |